News and Insights

Competitive Differentiation

Competitive Strategy for Mid-Sized Payers: Creative Collaborations are Key

Chief Healthcare Executive

Long-term success in any industry requires ongoing investment to progress customer-facing capabilities and internal operations. Health insurance is no exception and – one could argue – due to often thin differences among competitors, is a side of the health care ecosystem where smart reinvestment can create the margin to win…

The Role of Telehealth in an Evolving U.S. Marketplace

Covid-19 led to a surge in the use of telehealth across the U.S. But what’s likely to happen next? Will we see long-term impact on healthcare business models, health outcomes, and consumer expectations about healthcare convenience and access? To understand how industry leaders are thinking about telehealth in light of…

Healthcare “Excellence” Will Only Come from a Better Business Model

AJMC

Consumers’ dissatisfaction with our current healthcare system has existed for years, yet we still hope and pray it gets better. Instead of waiting for the industry to fix itself, some employers—whose health plans allow most Americans to afford healthcare services—have taken matters into their own hands. They’ve chosen to dedicate…

All of Us Are Impacted by These 3 Healthcare Startup Mistakes

AJMC

The healthcare industry is ripe with opportunity. It’s a $3 trillion market whose customers mostly feel they pay too much for what they get. The growing linkage of provider reimbursement to cost and outcomes creates room for innovators whose product or service can lower cost or improve outcomes. This is…

Coming to Terms With Care Migration

AJMC

The migration of care from inpatient (IP) to outpatient (OP) and ambulatory surgery center (ASC) settings is revolutionizing healthcare delivery. Beginning with cataract and cosmetic surgery more than a decade ago, the list of ASC procedures has grown to include endoscopy, colonoscopy, anterior cruciate ligament and shoulder repairs, sinus and…